Advanced Revenue Cycle Analytics: An Overview

Let me paint you a picture. Your billers and coders were spending hours of time manually entering in charges to your PM system. Then, you implemented charge passing on your EHR system. Gone are the days of manually entering in each individual charge post encounter. So why aren’t you seeing the time savings? Where is that promised ROI?

Your Hours Aren’t Being Saved, Merely Shifted

Yes, your billers and coders are saved many hours that would have been spent on manually entering charges, but those hours did not disappear. Because doctors aren’t coders, your billers and coders now have to spend those hours reviewing and correcting coding mistakes. And there are going to be a lot of coding mistakes.

The national average for percentage of encounters that require coding changes is 56%. That is a lot of mistakes, which means a lot of time. And this time is going to affect your revenue cycle outcomes.

Why So Many Coding Mistakes?

You may be asking yourself this question. One of the reasons so much time now must be invested into code corrections is the frustration that physicians have with the amount of clicks it takes to capture charges in EHR. Because of this, coders are forced to solve a lot more mistakes than they did when keying off a paper superbill.

Another reason that coding mistakes have increased is because the old system of manually entering charges was actually extremely efficient. As coders manually entered the charges, they could catch and correct mistakes on the spot, which is a lot easier than going back and fixing mistakes after they have been entered.

The Solution to Increase Coder Productivity

Yes, there is an answer to gain back those hours spent correcting coding mistakes. The key is to implement an exception only coding workflow.

The average coder or biller can process 25 encounters per hour. This statistic is similar whether a practice uses manual charge entry or charge passing through EHR. The problem is that although these coders are not manually entering each charge, they are still taking the time to review each encounter to ensure no coding mistakes were made.

Exception only coding allows your coders to only stop to review encounters that actually have a coding error. No more time wasted reviewing routine encounters that are coded correctly. You can maximize your coders’ time, and actually experience the time savings you were promised from EHR charge passing.

Want More Answers to Your Automated Charge Entry Problems?

In the post Meaningful Use world, automated charge entry can be either a source of struggle for practices, or a means of thriving and getting the most out of your revenue cycle. Looking for more secrets to a successful charge entry strategy? Click to schedule a free demo and see how White Plume can help.